双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折 |
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投稿时间:2012-01-10
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作者 | Author | 单位 | Address | E-Mail |
张生志 |
ZHANG Sheng-zhi |
平凉市人民医院骨科,甘肃 平凉 744000 |
Department of Orthopedics,Pingliang People's Hospital,Pingliang 744000,Gansu,China |
plzsz58258@sohu.com |
张桂萍 |
ZHANG Gui-ping |
平凉市人民医院骨科,甘肃 平凉 744000 |
Department of Orthopedics,Pingliang People's Hospital,Pingliang 744000,Gansu,China |
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期刊信息:《中国骨伤》2012年,第25卷,第4期,第335-337页 |
DOI:10.3969/j.issn.1003-0034.2012.04.019 |
基金项目: |
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中文摘要:
目的:观察双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折的临床疗效。
方法:自2004年6月至2011年6月,采用双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折86例,其中男48例,女38例;年龄19~75岁,平均42.5岁;左侧52例,右侧34例。86例患者均为粉碎性骨折,3个骨折块者25例,4个骨折块者32例,4个以上骨折块者29例。手术时间40~70 min.所有病例术后根据Böstman等髌骨骨折疗效评价标准进行评分。
结果:86例全部得到随访,时间3个月~6年,平均3.5年。Böstman评分总平均分(27.65±2.05)分,优78例,良8例。
结论:双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折具有手术简单、复位良好、固定稳定的优点,可早期进行锻炼,关节功能恢复满意。 |
【关键词】髌骨 骨折,粉碎性 骨折固定术,内 |
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Double-loop cerclage wire No.10 with the two-part patellar concertration for treatment of patellar comminuted fractures |
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ABSTRACT
Objective:To investigate the clinical effects of double-loop cerclage wire No.10 and the two-part patellar concertration for treatment of comminuted patellar fracture.
Methods:From June 2004 to June 2011,86 patients with comminuted patellar fracture were treated with double-loop cerclage wire No.10 and the two-part patellar concertration. They included 48 males and 38 females ranging in age from 19 to 75 (mean 42.5) years. Fifty-two cases were affected in the left and 34 cases in the right,with 3 fracture pieces in 32 cases,4 fracture pieces in 25 cases and more than 4 fracture pieces in 29 cases. The operation time was 40-70 minutes. The therapeutic effects were evaluated by Böstman patella fractures criteria in all patients.
Results:All patients were followed-up for 3 months to 6 years (mean 3.5 years). The overall Böstman score was (27.65±2.05). The outcome was excellent in 78 cases and good in 8 cases.
Conclusion:The double-loop cerclage wire No.10 and the two-part patellar concertration for comminuted patellar fracture is advantageous due to simplicity,good reduction,stable fixation,early functional exercise,and satisfactory functional recovery. |
KEY WORDS Patella Fractures,comminuted Fracture fixation,internal |
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引用本文,请按以下格式著录参考文献: |
中文格式: | 张生志,张桂萍.双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折[J].中国骨伤,2012,25(4):335~337 |
英文格式: | ZHANG Sheng-zhi,ZHANG Gui-ping.Double-loop cerclage wire No.10 with the two-part patellar concertration for treatment of patellar comminuted fractures[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(4):335~337 |
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